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AMERICAN RED CROSS
NURSING SERVICE
APPLICATION FOR ENROLLMENT
(To be filled out entirely in applicant's handwriting)
WEEK
EMB
I.
Name of applicant Jane M. m Bourke
2. Address
1.2.8.0. pl.
3. Date of birth 2 June 1881
Place of birth Co. Kildare. Ireland
4. Are you married, single or a widow? single
5. Are you a citizen of the United States ? no
6. Have you any physical defects?
no
7. Education and occupation before entering Training School in public & convent
Educated
School
8. From what Training School did you graduate? St. Louis Training school
Teacher
9. Character of hospital: General? yes
Special?
Private?
IO. beds in at time of graduation? sex hundred
How many hospital
II. Date of graduation 28. December 0.8 Length of course 3. years
12. Name and address of Superintendent of Training School under whom you were trained
miss Warr 1224 Willon St- Ht Louis Mo
I3. Of what nursing organization are you a member ? St- Louis aluminae
14. Give name and address of Secretary
I5. Are you a registered nurse? yes In what State?
Missouri
Date of registration
may 1910
16. How and where have you been employed since graduation? Give information for each year
one. year City. Hospital - private nursing
17. Name and permanent address of nearest relative mary Bourke 1.28.a anhers. PL
Signature
Date May 2nd 11
Jane : m.Bourke Sh Louis
Mo
-
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- Core
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Context sent to Scholar
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"ocrText": "AMERICAN RED CROSS\nNURSING SERVICE\nAPPLICATION FOR ENROLLMENT\n(To be filled out entirely in applicant's handwriting)\nWEEK\nEMB\nI.\nName of applicant Jane M. m Bourke\n2. Address\n1.2.8.0. pl.\n3. Date of birth 2 June 1881\nPlace of birth Co. Kildare. Ireland\n4. Are you married, single or a widow? single\n5. Are you a citizen of the United States ? no\n6. Have you any physical defects?\nno\n7. Education and occupation before entering Training School in public & convent\nEducated\nSchool\n8. From what Training School did you graduate? St. Louis Training school\nTeacher\n9. Character of hospital: General? yes\nSpecial?\nPrivate?\nIO. beds in at time of graduation? sex hundred\nHow many hospital\nII. Date of graduation 28. December 0.8 Length of course 3. years\n12. Name and address of Superintendent of Training School under whom you were trained\nmiss Warr 1224 Willon St- Ht Louis Mo\nI3. Of what nursing organization are you a member ? St- Louis aluminae\n14. Give name and address of Secretary\nI5. Are you a registered nurse? yes In what State?\nMissouri\nDate of registration\nmay 1910\n16. How and where have you been employed since graduation? Give information for each year\none. year City. Hospital - private nursing\n17. Name and permanent address of nearest relative mary Bourke 1.28.a anhers. PL\nSignature\nDate May 2nd 11\nJane : m.Bourke Sh Louis\nMo\n-"
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